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Intravascular Catheter and Implantable Device Infections in Transplant Patients

  • Nasia SafdarEmail author
  • Cybele Lara R. Abad
  • Dennis G. Maki
Chapter

Abstract

The use of intravascular devices for administration of drugs, fluids, blood products, and nutritional support is essential in patients undergoing transplantation procedures. These intravascular devices have a significant potential to produce iatrogenic disease, such as bloodstream infection originating from colonization of the indwelling intravascular devices. Over two-thirds of all healthcare-associated bacteremia originate from devices used for vascular access. Patients undergoing hematopoietic stem cell transplantation, who have inherently compromised immune function because of their cancer and are further incapacitated due to the preparatory pretransplant conditioning regimen or graft-versus-host disease, are particularly prone to device-related infections. In this chapter, a comprehensive review of epidemiology, disease pathogenesis, clinical presentation, treatment, and prevention of intravascular device-related infections is presented.

Keywords

Catheter infection Bloodstream infection Prevention 

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Nasia Safdar
    • 1
    Email author
  • Cybele Lara R. Abad
    • 2
  • Dennis G. Maki
    • 1
  1. 1.Section of Infectious Diseases, Department of MedicineUniversity of Wisconsin-Madison, School of Medicine and Public Health, and the William S. Middleton Memorial Veterans HospitalMadisonUSA
  2. 2.Section of Infectious Diseases, Department of MedicineUniversity of the Philippines Manila, Philippine General HospitalManilaPhilippines

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